CMS, NPDB, Joint Commission and Peer Review Compliance: 2024 Legal Updates on Medical Staff Issues

$251.00 – $255.00

 Original price was: $399.00.Current price is: $251.00.
 Original price was: $349.00.Current price is: $254.00.
 Original price was: $349.00.Current price is: $255.00.

Medical staff policies and procedures that do not correct for bias make for bigger problems than mere bad optics. Bad faith credentialing loses opportunities for hospitals, harms overall staff morale and jeopardizes both physicians reputations and patient care. Prejudiced peer review means huge damages in court. Bad faith peer review is a moral hazard. Diversity, equity and inclusion are often included as goals in hospital mission statements. Failure to address DEI in medical staff documents creates a disconnect.

Given the many opportunities for liability exposure, hospitals, medical staffs, physicians and other providers must be familiar with the restrictions the law places on peer review. There is relief available: federal and state laws extend immunity and confidentiality to protect both the subject of peer review and those who are conducting peer review. But those protections must be earned, and the qualifications are not necessarily obvious. Peer review mistakes, such as discriminatory practices or procedural shortfalls, are costly for all involved.

This webinar will review basic medical staff processes that need to be corrected to comply with state and federal law and regulation, and Joint Commission accreditation standards.

Learning Outcomes:
  • Review federal legal requirements for fairness in  peer review
  • Identify areas where peer review abuse happens
  • Provide examples of discriminatory peer review
  • Explain guardrails to use to protect peer reviewers
  • Help individuals measure whether their peer review processes are unfair
  • Explore the peer review reporting quirks of the National Practitioner Data Bank
  • Provide ways to comply and avoid unnecessary reporting
  • List resources for peer review guidance
  • Take questions and discuss answers
Areas Covered in the Session:
  • Addressing Bias in Medical Staff Credentialing & Peer Review
  • Defining Physician Peer Review
  • Peer Review is Mandatory in Hospitals
    • Law
    • Accreditation Standards
    • Medical Staff Bylaws
  • Peer Review Advantages
  • Peer Review is Protected
    • Protected by state & federal statutes
    • Protected under professional liability insurance policies
    • Protected by medical staff bylaw
  • Hospital Peer Review Actions Don’t Stay in the Hospital
    • State Licensing Boards
    • National Practitioner Data Bank
    • Third party Insurance Contracts
    • Next (if any) Employer/Partner
  • Balancing Interests
    • Patient care quality
    • Potential liability for hospitals and medical staff leadership
    • Physicians’ reputation
  • Conflicting Interests
    • Competition
    • Profit
    • Power
  • Components of Medical Staff Peer Review
  • Hospital Medical Staff Peer Review Processes
    • Application Process
    • Credentialing & Privileging
    • Ongoing Professional Performance Evaluation
    • Focused Professional Performance Evaluation
    • Provider Wellness
    • External Peer Review
    • Investigation
    • Corrective Action
    • Hearing Rights
    • Appeal Rights
    • Reporting to state and federal governments
  • All Components Equal? Equally Protected?
  • The Dangers of Peer Review Abuse
    • Targeting A Professional Because
    • Peer Review for The Wrong Reasons
    • Conditional Immunity
    • Limitation On Damages for Professional Review Actions
  • Protect Peer Review
  • Warning: Federal Law Immunity Does Not Apply to AHPs, State Law Varies
    • Under the federal Health Care Quality Improvement Act of 1986: Adequate Notice & Hearing
  • Medical Staff Documents
    • HCQIA & state laws
    • Notice & Transparency
    • Confidentiality
    • Access to All Information, Including Favorable
  • Avoid Weaponizing Reporting
  • Resources and Documents: Look for Peer Review Procedural Problems
  • What to Look For?
Recommended participants:
  • Hospital Administrators
  • Compliance Officers
  • Medical Staff Leaders
  • Medical Staff Office Managers
  • Chief Medical Officers
  • Health Care Attorneys
  • Medical Staff President/ Chief of Staff
  • Bylaws Committee
  • Credentialing Committee
  • Vice President of Medical Affairs
  • Director of Medical Staff
  • Medical Staff Attorney
  • Hospital Counsel
  • Credentialing Specialist
  • Human Resources Professionals
Presenter Biography:

Elizabeth “Libby” Snelson, ESQ., helps medical staffs across the country with medical staff bylaws, and works for medical societies on medical staff issues. A frequent speaker on medical staff legal issues, Ms Snelson presents at medical staff leadership retreats, and in programs sponsored by state medical staff services associations and medical societies, the American Medical Association, the American Bar Association, and other organizations. She is Past President of the American Society of Medical Association Counsel, Vice President of the ABA’s Physician Issues Interest Group, and serves Of Counsel to the Minneapolis law firm of Lockridge Grindal Nauen. She was a member of the Joint Commission’s MS 01.01.01 Task Force. Her articles on medical staff legal issues have appeared in various publications. She is the author of The Physicians’ Guide to Medical Staff Organization Bylaws, published by AMA, the Massachusetts Medical Society’s Model Medical Staff Bylaws, the North Carolina Medical Society’s Model Medical Staff Bylaws, and other model medical staff documents. Ms Snelson provides expert testimony in peer review litigation.

Additional Information:
System Requirement:
  • Internet Speed: Preferably above 1 MBPS
  • Headset: Any decent headset and microphone which can be used to hear clearly

For more information, you can reach out to the below contact:
Toll-Free No: +1 800-757-9502
Email: cs@waymoreeducation.com